Sacrament Registration Form

FAMILY NAME REQUIRED Please fill out this field. Please enter valid data.

Registered Parishioner? REQUIRED

If no, you will be required to submit a letter from your parish to receive Sacraments at Holy Family. New parishioners are also welcomed.

Yes No Please fill out this field.

If you are not a parishioner, you will be required to submit a letter from your pastor with permission to receive the sacraments at Holy Family. If you don't belong to a parish and wish to join Holy Family, we are happy to have you join our community. Thank you for joining us.

Family Email Address REQUIRED Please fill out this field. Please enter an email address.

Address REQUIRED Please fill out this field. Please enter valid data.

City REQUIRED Please fill out this field. Please enter valid data.

Zip REQUIRED Please fill out this field. Please enter valid data.

Primary Phone REQUIRED Please fill out this field. Please enter valid data.

Father /Guardian Info

Mother /Guardian Info

Emergency Contact (other than parents)

Name REQUIRED Please fill out this field. Please enter valid data.
Primary Phone REQUIRED Please fill out this field. Please enter valid data.
Relationship to Family REQUIRED Please fill out this field. Please enter valid data.

Tuition due with registration:

Reconciliation: $45.00 ; Reconciliaton and Holy Communion: $90.00; Reconciliation, Holy Communion and Confirmation: $135.00; Confirmation only: $45
Please pay online at the end of this form, or make Cheques payable to Holy Family Parish & return to church office.

Scholarships available, please contact Maria Chacko at the parish office.

Student Name REQUIRED

Type the name of the student

Please fill out this field. Please enter valid data.

Sex REQUIRED

Enter the Child's Gender

Male Female Please fill out this field.

Birth Date (mm/dd/yy) REQUIRED Please fill out this field. Please enter valid data.

Age REQUIRED Please fill out this field. Please enter valid data.

Grade (2020-2021) REQUIRED Please fill out this field. Please enter valid data.

Current School Attending REQUIRED Please fill out this field. Please enter valid data.

Check box for Sacraments ALREADY received REQUIRED

Select the sacraments already received

Baptism First Reconciliation First Holy Communion Confirmation None Please fill out this field.

Does the Student have any special needs due to a learning disability, physical disability, reading difficulty, hearing impairment, or emotional concerns? (This information will be kept Confidential) REQUIRED Please fill out this field.

Does the Student have any allergies (include food allergies)? REQUIRED Please fill out this field.

Additional Important Details Regarding Your Child (if any): REQUIRED

Say "Not Applicable" if you do not have any.

Please fill out this field.

Permission to participate

I give permission for my child(ren) to participate in Holy Family’s Faith Formation Programs and authorize Holy Family to obtain emergency medical services if needed during Faith Formation. Classes may be online or in person based on the circumstances. I will notify the Faith Formation Department/Youth Ministry Department if I do not want my children’s photos used on the parish website, bulletin or social media.

I Agree Please select this field.
Mode of Payment REQUIRED Check (payable to Holy Family Parish) Card Please fill out this field.
Make Payment REQUIRED
472100 - Sac Prep, First Reconciliation 472200 - Sac Prep, First Communion, Confirmation
Please fill out this field.